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Contact Information

JENNIFER M GOODHEART
3525 E LOUISE DR
MERIDIAN, ID83642-6302
 Phone: 208-706-7050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiac Rehabilitation

163WC3500X
Indicates primary specialty

NPI Profile & details for JENNIFER M GOODHEART · (Female)

NPI Number 1093477424
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2021
Last updated 10/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 36050
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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